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Montana rates for HCPCS 27412

Autologous Chondrocyte Implantation Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.00 / $1,754.32 / $4,356.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.39 / $2,606.39 / $2,606.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,606.39 / $2,606.39 / $2,606.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.37 / $2,606.39 / $2,784.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.46 / $1,774.38 / $2,606.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.03 / $2,606.39 / $3,414.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.69 / $2,766.59 / $3,148.20